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New Studies on Return on Investment for Health Information Technology Adoption. the MidSouth eHealth Alliance Project 27-September, 2007 Mark Frisse Rodney Holmes & Colleagues. Questions we ask. How do you define value (“return”) qualitatively?
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the MidSouth eHealth Alliance Project
Christ Community Health (4 primary care clinics)
Methodist Healthcare (7 facilities including Le Bonheur Children’s Medical Center)
The Regional Medical Center (The MED)
Saint Francis Hospital & St. Francis Bartlett (Tenet Healthcare)
St. Jude Children’s Research Hospital
Shelby County/Health Loop Clinics (11 primary care clinics)
UT Medical Group (300+ clinicians)
Memphis Managed Care/TLC (MCO)The MidSouth eHealth Alliance – a 501(c)(3) corporation
Over 250 users
Our goal is 100% use
Anecdotally, our system affects care
This individual had over 40 ED visits to multiple emergency departments within a 7-month periods. Options:- more effective treatment in ED- more effective care outside of ED
Core healthcare entities include: Baptist Memphis, Le Bonheur Children’s Hospital, Methodist University Hospital, The Regional Medical Center (The MED), Saint Francis Hospital, St. Jude Children’s Research Hospital, Shelby County/Health Loop, UTMG, LabCorp, Memphis Managed Care-TLC
The State of Tennessee and the Core Healthcare Entities realize a higher financial gain when you consider the different stakeholder contributions.
State of Tennessee
Payback Period = 1.7
Return on Investment = 1.95
Core Healthcare Entities
Payback Period = 0.5
Return on Investment = 17.5
Payback Period (years) = 3.3
Project Return on Investment = .56
The HealthBridge & Regenstrief models
Prescription medication “hub”
Collaborative Care Services
Lower cost of care across selected facilities (ED, HealthLoop, & Christ Community)
Lower cost of communication of clinicians
Expand data communicated to clinician
Case management improvement
Public Health Report Services
Lower cost to deliver reportable data sets or public health data.
Employer Benefits Reporting Services
Lower utilization review costs
P4P/Quality Indicators Reporting Services
Pilot studies with Plans & Employers (report cards, P4P/Quality Indicators, patient/disease specific, disease management)Other areas of near-term potential